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	Beauty supplies, salon equipment, salon software 3961 106th St. Des Moines, Iowa 50322 (515) 276-4700 (800) 247-1660 E-mail: 75667.1722@compuserve.com Fax: (515) 276-1071


	Complete the following form to download our electronic catalog of salon equipment:


	Your Name (required)


			Salon Name (required)

		Address (required)

	City (required)


	State (required) Country (required) Zipcode (required)


	Telephone Number (required) Area Code


	Email Address (required)


	1. Choose: I am remodeling my salon / I am opening a new salon.


			Remodel

	2. The budget for my project is:

		0-$1000

		$10,000-15,000


	New Salon

	$1000-5000


	$5000-10,000


	more than $15,000


	3. I expect to make my purchase within:


	Immediately

		3-6 months


	1-4 weeks

	6-12 months


	2-3 months

		more than 1 year


	4. How many stylists do/will work in your salon?


	1-2 Stylists

	11-15 Stylists


	3-5 Stylists

	16-25 Stylists


	5. I found this site through a:


	Magazine Ad


	Search Engine


	6-10 Stylists

		more than 25 Stylists


	Search engine name:


	6. Comments / Further requests:



Okay to add me to Guest List